| NPI | 1518339282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY W DION Owner 803-779-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SC 31795) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |